Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science 2020)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2050126 Name: AMIT ARUN DHAWALE
  Address: Laxminagar paithan Laxminagar naka road
Telephone No.: 8379904848 Mobile no: 8379904848
E-mail: dhawaleamit05@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 305211792
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050126 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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Date ________________ Date ________________
 
Please quote your dossier id and full name for any future correspondence
Please keep a copy of the form for your reference for communicating with the Institute

Note: Please remember to login and fill in your 12th std PCM marks when they are published & IMUCET Application number in order to complete your application form.

Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science )

APPLICATION FOR ADMISSION - 2020

 
  Dossier ID: DNS2050126
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AMIT ARUN DHAWALE
Mother's Name: KAVITA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Sep 2001 Nationality: Indian
Place of Birth: Shrigonda Personal Identification Mark: Black dot on left side of stomach
Blood Group: O + Address for Communication: Laxminagar paithan Laxminagar naka road
State: Maharashtra Country: India
Pin: 431107 City/District: Aurangabad
Mobile no: 8379904848 Telephone No. with STD code: 8379904848
Aadhar Card No:889612446282 E-mail: dhawaleamit05@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: KAVITA ARUN DHAWALE Relationship with candidate: Mom
Parents Date of Birth: 07 Feb 1983 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Laxminagar paithan Laxminagar naka road
Country: India State: Maharashtra
City/District: Paithan Pin: 431107
Tel: Mobile no.: 9881276385
Fax: Email: dhawaleamit05@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: Maharashtra Board: Maharashtra
School: Shri nath high school paithan School: Icon paradise jr.college
City: Paithan City: Paithan
English %: 54 Board Roll No./Seat No.: R020133
Aggregate Percentage: 83 School/College Code: 5605035
  Centre code: 0110
  Address of School/College: Police station road
  Pin: 431107
  Contact Nos: 8379904848
  Email: dhawaleamit05@gmail.com
  Aggregate Percentage: 77
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 68 68
Chemistry 100 80 80
Mathematics 100 86 86
Physics, Chemistry & Mathematics combined Percentage: 78
English 100 54 54
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2016 Swimming District 1st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for imu cet
Why do you wish to join TMI?: Beacause of futher good carrier
What are your hobbies?: Chess, pubg , travelling to forts
What are your strengths?: Hungry to learn new things
What are your weaknesses?: Hindi communication
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate not uploaded Class XII admit card not uploaded Class XII marksheet
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

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Date ________________

 
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